Provider Demographics
NPI:1174629984
Name:FALCONER, RANI K (RN NP)
Entity Type:Individual
Prefix:
First Name:RANI
Middle Name:K
Last Name:FALCONER
Suffix:
Gender:F
Credentials:RN NP
Other - Prefix:
Other - First Name:RANI
Other - Middle Name:A
Other - Last Name:KOKATNUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN NP
Mailing Address - Street 1:300 N. SAN ANTONIO ROAD
Mailing Address - Street 2:FIRST FLOOR, ROOM 107
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1316
Mailing Address - Country:US
Mailing Address - Phone:805-681-5461
Mailing Address - Fax:805-681-5200
Practice Address - Street 1:301 NORTH R STREET
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-5226
Practice Address - Country:US
Practice Address - Phone:805-737-6400
Practice Address - Fax:805-737-6458
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9645363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB241739OtherMEDICARE ID